23D2235471 CLIA NUMBER - SERENITY HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 23D2235471
  • Facility Name: SERENITY HOSPICE CARE
  • Facility Address: 33620 FIVE MILE ROAD SUITE C
    LIVONIA, MI
    ZIP 48154
  • Facility Phone: 734 655-9390
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JIMMY P. NANANSALA JR
  • NPI Number: 1356958649
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2235471
LAB Type Hospice
Facility Name SERENITY HOSPICE CARE
Street 33620 FIVE MILE ROAD SUITE C
City LIVONIA
State MI
ZIP 48154
Phone 734 655-9390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Hospice
Lab Director JIMMY P. NANANSALA JR

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This page was last updated on: 9/29/2025